Zimmermann Martina
Department of Pharmacology, School of Pharmacy, Goethe University Frankfurt, Frankfurt, Germany.
J Nerv Ment Dis. 2012 Dec;200(12):1017-21. doi: 10.1097/NMD.0b013e318275cdc1.
This article analyzes, firstly, how the representation of the psychiatric institution in Ken Kesey's One Flew Over the Cuckoo's Nest pioneered criticism regarding asylum politics during the 1950s and, secondly, how the reactions of R.D. Laing, an influential psychiatrist-critic of the time, impacted changes of asylum politics, as seen through his autobiographical considerations in Wisdom, Madness and Folly that were published in 1985. The key aim of this work is to compare the ability of a satirizing, fictional piece of writing and a medically focused, nonfictional work of criticism to influence a movement that extended during the 1960s and the 1970s, indeed shaping health care policies in the 1980s and the 1990s as well as our present-day view on institutional management.
本文首先分析了肯·凯西的《飞越疯人院》中精神病院的呈现如何在20世纪50年代开创了对精神病院政治的批判,其次分析了当时有影响力的精神病学家兼评论家R.D. 莱恩的反应如何影响了精神病院政治的变革,这一点可从他1985年出版的《智慧、疯狂与愚蠢》中的自传性思考中看出。这项工作的关键目的是比较一部讽刺性虚构作品和一部以医学为重点的非虚构批评作品影响一场在20世纪60年代和70年代展开、并确实塑造了20世纪80年代和90年代医疗政策以及我们当今机构管理观念的运动的能力。